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No6(5) 2022

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DOI 10.37219/2528-8253-2022-6-44

Borysenko OM, Pochueva TV, Minina GY, Grinko II, Valchyshyn SV, Zhulai TS
Third mobile window syndrome (literature review and own series)  
Borisenko Oleg M.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Head od Ear Microsurgery and Otoneurosurgery Department
Doctor of Medical Sciences, Professor
E-mail: oleg_borysenko@ukr.net
ORCID ID 0000-0003-0125-2990
ResearcherID: X-4720-2018

Pochueva Tetiana
Kharkiv Medical Academy of Postgraduate Education
Professor of the department of otolaryngology and pediatric otolaryngology
Doctor of Medical Sciences, Professor
e-mail: pochuevatv@ukr.net
ORCID ID 0000-0002-4138-7091

Minina Ganna Y.
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Science of Ukraine”; Kyiv, Ukraine.
Ear Microsurgery and Otoneurosurgery Department
Researcher
Candidate of Medical Sciences
Email: mininy1956@gmail.com
https://orcid.org/0000-0003-1237-4395

Valchyshyn Stanislav
State Institution “O.S. Kolomiychenko Institute of Otolaryngology of National Academy of Medical Science of Ukraine”; Kyiv, Ukraine
Head of the Department of Radiation Diagnostics and Radiation Therapy
e-mail: valchyshyn3m@gmail.com
ORCID ID 0000-0003-2668-188X

Zhulai Tetiana
National University of Pharmacy: Kharkiv, Ukraine
Assistant of the Department of Clinical Pharmacology and Clinical Pharmacy
Candidate of Medical Sciences
Email: tszhulay2910@gmail.com
ORCID ID 0000-0002-6190-3137
Scopus Author ID: 57216558937

Abstract

The report presents modern views on the “third mobile window syndrome”, starting with the anatomical and physiological features of the inner ear function, both in normal conditions and in the presence of an additional opening in the bony labyrinth, which changes the hydrodynamic resistance of fluid flow in the perilymphatic space. Characteristic symptoms and modern views (sometimes hypothesis) on the causes of its occurrence are described in detail. Attention focused on diagnostic methods at the outpatient and clinical conditions of a highly specialized department. The latest data on the modern classification of this syndrome and the conclusions of the consensus of the International Barani Society in 2021 are presented.
Own series with a detailed description of the features of each case, illustration of the audiometric and tomographic images and successful results of surgical treatment are presented. In the conclusions, the attention of practicing doctors is focused on the signs of the “third mobile window syndrome” which can be detected at the outpatient service – pressure or sound-induced vertigo, bone conduction hyperacusis, and pulsatile tinnitus.

Keywords

"third mobile window syndrome" syndrome, anatomical features, diagnosis, classification.


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